- Elevance Health (Atlanta, GA)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Atlanta, GA)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Molina Healthcare (Atlanta, GA)
- …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Atlanta, GA)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Atlanta, GA)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- The Clorox Company (Alpharetta, GA)
- …**Your role at Clorox:** Contract Length: 6 months (with ... GA (Hybrid) About the Role We're seeking a highly motivated Contract Production Recruiter to support high-volume hiring needs within our manufacturing/production… more
- Elevance Health (Atlanta, GA)
- …Healthcare (Pharmacy) Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How ... realized and recommends modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider contractors on… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Transformation** + Architect comprehensive member journey framework spanning: enrollment, provider search, care access, treatment navigation, claims resolution, ... transformation, AI adoption, large-scale platform migrations, and revolutionary member and provider journey experiences. This is a hands-on leadership role for a… more
- Abbott (Atlanta, GA)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. ... working mothers, female executives, and scientists. **The Opportunity** **Abbott Point of Care ** (APOC) is a global leader in providing critical medical diagnostic… more
- CVS Health (Atlanta, GA)
- …and objectives * Perform Medication Regimen Reviews (MRR) as outlined by regulation or contract for facility type and provide written reports of these reviews to ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Atlanta, GA)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or...access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines… more
- Highmark Health (Atlanta, GA)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- CVS Health (Atlanta, GA)
- …from their analysis and develops recommendations to inform key decision makers + Provide input into performance monitoring and contract language to ensure ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (Atlanta, GA)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Atlanta, GA)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Prime Therapeutics (Atlanta, GA)
- …value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the ... fashion. + Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancement)....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … Service, you will develop, implement, and evaluate systems that promote high-quality, cost -effective, and safe care . Key Responsibilities: + Leadership & Team ... a culture of collaboration, excellence, accountability, and mutual respect within inter-professional care teams. + Provide education, coaching, and guidance to… more
- Western Digital (Atlanta, GA)
- …The ideal candidate will have extensive experience in supplier negotiations, contract management, cost reduction strategies, and commodity market analysis. ... key supplier relationships, driving strategic sourcing initiatives, and ensuring cost -effective procurement across specific commodity categories. This is a principal… more
- Oracle (Atlanta, GA)
- …impact related to data center, network, and server infrastructure + **Strategic Deal Cost Modeling:** Provide critical financial and cost -structure insight ... **Job Description** Are you an expert at dissecting and optimizing the massive cost structures behind **global cloud infrastructure** ? Do you thrive on the… more
- Molina Healthcare (Atlanta, GA)
- …management standardization, and cost -effective quality outcomes in a managed care environment. Contributes to overarching strategy to provide quality and ... and implementation of behavioral health medical policies, peer review processes, provider education, and contract reviews. + Represents the organization… more